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Managed Care October 2004 |
Kaiser Seen as Biggest Earner as HMO Profits Soared in 2003 The good times rolled on for the nation's HMOs in 2003. The industry nearly doubled its profits, earning $10.2 billion, an 86 percent increase from the $5.5 billion it earned in 2002. |
Managed Care October 2000 |
Large HMOs Do Well While Small Ones Slide Weiss Ratings reports that the nation's HMOs lost a collective $187 million during 1999, despite the positive performance of most of the country's largest managed care organizations... |
Managed Care March 2006 |
Will HMOs' Robust Profits Make Good Political Fodder? Those looking for any excuse to bash HMOs, including political gain, will turn anything into a weapon, including a recent study pointing to healthy profits. |
Managed Care November 2002 |
Biggest one-year premium jump Health care premiums for large employers will increase 15 percent on average in 2003 -- the biggest year-over-year jump since Towers Perrin began conducting the survey in 1989. |
Managed Care February 2001 |
2001 Could Be Good Year For Managed Care Industry Median earnings for managed care organizations are expected to grow 17 percent this year, according to a forecast by Merrill Lynch. The report suggests that while enrollment increases will remain tepid, well-positioned companies will benefit from increased market share... |
Managed Care January 2005 |
Headlines on Deadline... More on the pay-for-performance push... The nation's HMOs operated on a slim profit margin in the first three months of 2004... Health coverage is not a factor in determining the level of care children receive in the U.S... etc. |
Managed Care September 1999 |
Sagging Fortunes Cited in Departure Of Humana's CEO |
Managed Care November 2007 |
Underwriting Earnings Slow, But Investment Gains Soar First-quarter underwriting gains for the health insurance industry declined in 2007, while investment gains were up nearly 42% compared with the same period last year. |
Managed Care December 2000 |
While Large HMOs' Finances Improve, Small Plans Suffer Several large MCOs, including WellPoint, Cigna, United Healthcare, and Oxford, have reported strong third-quarter earnings. However, 44 percent of HMOs reported losses, a large proportion of those being plans with fewer than 100,000 members... |
Managed Care December 2006 |
Compensation Monitor More than half of the nation's HMOs use pay-for-performance programs. |
Managed Care September 2004 |
Headlines On Deadline ... The IRS has given health insurers extra time... HMOs now have more than... Employer-sponsored coverage seems to be eroding... |
Managed Care June 2003 |
For-profit, not-for-profit enrollment holding about steady While HMOs seemed to be losing enrollees to PPOs, the ratio of enrollees in for-profit and not-for-profit HMOs stabilized in the late 1990s, according to data collected by the Centers for Medicare and Medicaid Services. |
Managed Care December 2002 |
California Puts Doctor Scores On Report Cards The competency of physician groups is often as important as HMO performance in determining patient outcomes, California health regulators have decided |
Managed Care November 2003 |
Malpractice protection efforts seem to come up short Medical malpractice insurance premiums continue to rise, even as some states place caps on non-economic damages, according to a survey by Weiss Ratings. |
Managed Care November 1999 Richard Hamer |
Goals 2000: For HMOs: Administrative Retooling For MDs: Managerial Competency ...While HMOs retrench, physicians need to become more constructive participants.... |
Managed Care August 2006 |
Slowdown in Premium Increase Expected to Continue Into 2007 The only thing falling in terms of health care costs seems to be the rate of increase of premiums - good news for employers and other purchasers. |
Managed Care January 2001 |
More HMOs to fold, consolidate in 2001 More than six dozen HMOs have characteristics that put them in danger of going out of business, according to projections by InterStudy publications... |
Managed Care October 2003 MargaretAnn Cross |
Some HMOs See Dividends In Charging Deductibles This may be one way to regain profitability, though getting permission from government regulators may take some doing. |
Managed Care February 2004 |
Overall, a good climate in 2004 Operating performance is expected to be strong this year, thanks to moderating medical costs and rate increases that are forecast to run between 10 percent and 12 percent, on average. |
Managed Care July 2002 Frank Diamond |
Premium Hikes: No Cause for Celebration Lost market share and further erosion of public trust will be the long-term by-products of this short-term solution. |
Managed Care December 2002 Frank Diamond |
Blues on the Move The resurgence of what was once primarily known as the insurer of last resort has been breathtaking. Can it be sustained? Even better, replicated? |
Managed Care November 2000 |
For first time ever, HMO enrollment drops in 1999 National HMO enrollment fell by 400,000 last year, from its all-time high of 81.3 million. For at least two years, a wider array of managed care products and an ever-smaller pool of people still covered under indemnity plans slowed the rate of HMO enrollment growth... |
InternetNews June 27, 2006 Michael Hickins |
Hospital, HMO Ratings 'Open' to Public New York State adopts online scorecards allowing employers and consumers to review local hospitals and HMOs. |
Managed Care May 2002 Sharon Baker |
Self-Funded HMOs on the Rise Escalating premiums, changing attitudes play a role in employers' decision to take on the same thing that burned many physicians: financial risk |
Managed Care December 2001 |
Survey: HMOs confused about HIPAA privacy regs Though the clock is ticking for HMOs to comply with new privacy guidelines under the Health Insurance Portability and Accountability Act, indications are that many companies are confused about what they need to do... |
Entrepreneur March 2009 Gwen Moran |
Take Your Tag Line from Drab to Fab You wouldn't just blow up your whole brand and start over. But with the tag line you can. |
The Motley Fool June 28, 2005 Tom Taulli |
Milberg Weiss -- No Clothes? The law firm claims its mission is to protect investors. Well, the U.S. Justice Department appears to have a less optimistic view of Milberg Weiss. |
BusinessWeek July 12, 2004 Howard Gleckman |
Providing For Your Own Care Long-term care insurance is getting even more pricey, so shop carefully. |
Managed Care June 2003 |
HMO, Medicaid formularies exhibit surprisingly small differences When you compare HMO and Medicaid formularies for coverage in major therapeutic areas, you find that the differences are relatively small, with Medicaid plans being somewhat less stringent. |
Managed Care January 2002 |
To Save Money, Employers Reduce Number of Plans Offered to Workers The days of employers scrambling to provide a choice of health benefits packages to lure and keep employees may be ending. The New York Times reports that large companies across the country are sharply reducing the number of HMOs they offer... |
Managed Care July 2006 |
Headlines On Deadline... Initial bids are in and it appears that premium growth will be slowing... Certification guidelines for health care information technology are in the works... New technology doesn't come cheap... etc. |
InternetNews June 10, 2005 Lynn Haber |
Hospital Tackles Data Growth With data storage needs soaring 10-fold in five years, Baptist Memorial Health Care decided it was time to act. Here are the results of its survey of storage options. |
Managed Care July 2000 Neville M. Bilimoria, J.D. |
HMOs Continue Losing Ground On Liability Issues at State Level The recent U.S. Supreme Court decision offers a nice breather, but executives should not let down their guard, as an Illinois ruling shows. |
Managed Care June 2002 Jeffry R. Ellis |
Third-Party Payers Don't Realize Burdens Placed on Pharmacists PBMs and HMOs, by imposing a workload that doesn't allow enough time for needed functions, seem to want pharmacists to fail, this author asserts. |
Registered Rep. October 8, 2002 Rick Weinberg |
Brokerage Firms Continued Recommending Floundering Companies: Weiss Survey A surprising 74% of the 62 brokerage firms that follow companies that filed for bankruptcy protection between May 1 and Aug. 31 continued to recommend those companies to investors even as they were seeking protection. |
Managed Care April 2000 |
Fallout from the "new economy": claims payment slower than ever A new InterStudy Publications report says HMOs relied heavily on investor funds during the 1990s to cover medical and operational expenses, and premiums alone were not enough. The resulting cash crunch means health plans are taking longer than ever to pay claims... |
Managed Care July 2005 |
Headlines On Deadline ... A recent Centers for Disease Control and Prevention study that indicated that overweight people might live longer than normal weight people may have been based on skewed data. |
U.S. Banker August 2001 |
Metlife Bank Gets Serious To an outsider, at least, MetLife seems to be a flighty company, shifting its executives willy-nilly between insurance and banking. |
Managed Care March 2001 |
Premiums outstrip medical costs for first time in 6 years Whether this pricing tactic helps health plans return to profitability remains to be seen, but it appears the industry's financial picture is brightening... |
Managed Care August 2001 |
HMO-CMO Salary Survey How nice to be the chief medical officer of a large commercial HMO in or near Minnesota... |
Registered Rep. January 28, 2003 |
Weiss Study: Analyst Community Still a "Sell" Out A study of the ratings systems at 30 brokerage firms showed significant improvement in their identification of companies heading into bankruptcy. On the down side, though, a surprising number continue to recommend companies right up to the day they file for Chapter 11. |
Managed Care July 2000 |
Are Gatekeepers Failing To Control Specialty Costs? The importance of a gatekeeper in keeping costs down has been challenged again -- this time in a study that compares physician utilization for HMOs and point-of-service plans. |
Managed Care July 2000 Michael Levin-Epstein |
Congress Asked To Take Action As HMOs Flee Managed Medicare Thanks mainly to the increasing cost of providing a prescription drug benefit, HMOs are exiting Medicare+Choice, the system that was supposed to manage the health of the nation's senior citizens, in droves. Only an act of Congress can save Medicare+Choice, but is seems doubtful that will happen. |
Managed Care November 1999 |
U.S. Supreme Court To Hear Suit Against HMOs Over Incentives Can HMOs be sued for the practice of offering bonuses to physicians who help them keep the cost of care down?... |
Managed Care April 2000 |
Financial Stability Of HMOs Called A Mixed Bag An HCIA-Sachs survey says the median HMO profit margin in 1998 was -1.7 percent, slightly better than in 1997. Forty-one percent of HMOs made money in 1998.... |
Managed Care March 2002 Charles Downey |
The Department of Managed Care California sets a precedent again, with a bold effort to regulate the HMO industry. While the new Department of Managed Health Care is facing down 50,000 consumer gripes monthly, director Daniel Zingale intends to keep administrative red tape from overwhelming everyone... |
Managed Care December 2005 |
Pharmacy Cost Increases Below Medical for the First Time in Four Years According to a survey of 70 health care insurers, prescription costs are expected to increase at a lower rate than medical costs during the next 12 months. |
Managed Care October 2002 John A. Marcille |
Has the Time Come for NCQA To Get Tough With HMOs? Perhaps it's just coincidence. The National Committee for Quality Assurance issues its State of Health Care Quality report the same month that a study is published in the Journal of the American Medical Association that dismisses the idea of grading health plans. Talk about irony. |
Managed Care April 2001 Frank Diamond |
Why HMOs Could Thrive In the Economic Downturn It happened in the slump of the early 1990s, and it could very well happen again. Managed care feasts while other industries starve. People will still get sick, even in bad times... |
Managed Care June 2001 |
Few Seem To Use POS Option To Go Out of Network Point-of-service plans, in which members can see an out-of-network provider for higher out-of-pocket cost, are among the options employers offer with increasing frequency... |